September - 2013
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Severe Sepsis and Septic ShockDerek C. Angus, Tom van der Pol N Eng J Med, 2013, 369:840-851 This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
September |
Previous Comments
| Pedantic point - the final page of the article is page 851, not page 85. Otherwise a reasonable overview which still comes to the conclusions that we don't have any really clever treatments on the horizon. I remain a little underwhelmed by early goal directed therapy, and the fluid loads suggested seem consistent with the way I practiced 5-7 years ago. These days I use less fluid. They also give the somewhat schitzophrenic advice to use "minimal PEEP" and "a higher, rather than lower, PEEP" in ARDS. WTF?!? | |
| matbailey-12 Sep, 2013 06:18:28 PM | |
Comment
This review is part of the series in NEJM on septic shock, worth the read